Biggest Teaching Mistake

Hello guys welcome to btw to dress welcome and Happy New Year to you and from btw tutorials we wish you an awesome 2019 hour we believe that this year is going to be the best for you. Okay so happy new year. All right today’s video we’re going to learn about the common mistakes okay so that’s make Dorinda jam registration and how to avoid them okay and if it’s your first time on this channel btw tutorials and educational channel as opposed to that we pray for your watch that’s your wife Nicole GC john pause to me We are here to support you you indication for 2019 so please as this your first time please try to click the subscribe button okay support this ministry to move forward yes I know this is not that is not an entertainment channel is quite slow in growth what please support his ministry. To move forward click the subscribe button share this channel a big my brothers and sisters.



with your friends, family or loved ones I know almost every youth is in school so please people that need this particular purpose or what’s in place for within for exam my practice this can help you this is free resources for you to pass your exams this year here you can see there are 40 questions so one physicists and another 140 question solve or mass for jam there’s around why here why 50 questions so and if you go to the channel that over the seeds once it’s an educational videos introducing mass topics explaining them solving past questions. This channel is here to support you for free women. These videos free of catch all the way from Lagos, Nigeria, my brothers and sisters. Please click the subscribe button. Subscribe. Support us to do more share. Please let us grow. Help this ministry to move forward. Okay, please, I beg you. This is just my heart play for 2099.



need your support guys please share this channel you know if your parents your uncle you don’t maybe you don’t need is share to your siblings or even to another parent that the child is braver for Gina wag as a PDF Virginia way on places the question unsolved and by God’s grace other videos are coming up this year that will support you for in your education please let’s try to click the subscribe button share this video and also if you have any questions comment on this video please try to drop a comment below and I’ll respond to you. Alright so let’s get on to the video to know how we can avoid these mistakes when registering for a champ exams this year. So what are the list of mistakes to avoid when registering for your chance? 2019 Okay, so the first mistake to avoid is accessible to register for you. Okay and so on. Maybe someone that is not maybe your your mom or dad Okay, please.



If you want someone to register for you issued that be your mother or your father, nobody else I your mom or your dad want them also not to give someone someone else’s responsibility to register for you, okay? Now look at anyone’s radar for you to do Gemma’s as notify them people, students registering that don’t go to cyber cafes go to a CVT registered sent that by jam, okay and in my next video on my blog This is the ability to grab the blogs I’m going to post the list of jump ready satisfy them CBC centers where you can go to in Lagos and in all states.



Okay, so please, the first mistake to avoid is accessible to register for you because they can make a lot of mistake mistakes. It is not Yes, so they might not give it like 100% attention or pass.



Okay, so please don’t make that mistake have access to register for you. Now the second thing is inconsistency your name the way you write your names on your certificate from secondary school make sure that name you also use for your job your surname is this your first name is this your middle name is that and make sure you spell out your names correctly. Okay during your dream filling, filling your jump profile and all that things on the jumpers ratio form. Okay, now the topic is using another person’s phone number. Please don’t use anybody else’s phone number apart from yours. Or maybe that of your mom or your dad. Don’t do uncle brother,

See Also: 8 Biggest Mistakes Students Make

maybe even brother because our product can travel that uncle can travel Okay, and you might see a message and forget that you used his number for yourself.



registration and you will inform you that all he saw a message so please use your mom or your dad or your own phone number for this registration why I keep on hammering your mom on that because they have you had 247 so anything that see there will always inform you okay and also use a number that you can easily retrieve if the phone or the number gets missing all right for pain is using another person’s email address please please please this is a common mistake if our last year so many of them to check their results they were looking for as a matter same address where maybe any email address the cyber cafe they using raised the on the cyber cafe or someone else who’s email address they do the password they do know this or that please use your own email address and it is very easy to get an email address. I will also advise strongly to use a genius



Email, Gmail mailbox, okay. And on my channel I’ve also been going to put the link in the description box a link to the video of how to create a Gmail account. Alright so please make sure you use your own email address is very easy to create a demon in your email account you can use your phone or use a desktop computer make sure also you write down your password, maybe your diary or a journal. All right. And also please try to avoid typing in the wrong address. Make sure you check well that the email address type in juniors Christian is what correct okay if not, you will be receiving mail on any updates on jam 15 is wrong date of bets. Please don’t make mistake in this. Please try to avoid careless mistakes that will cost you re sitting for jam another Yeah, go for it please. So try to write the correct date of this.



If you don’t know that tried to ask your parents for your bed certificates to get the current date of death and also your local government origin okay x your parents clearly of your local government already I make it consistent in your registration Now the 16 is wrong subject combination I’ve done a video on this on the list of jumps object combination you can also check my channel this I’m also going to drop the link for this and it’s also on the computer as blog you can check that for subject combination please a particular course just like a message students you are going for something medical or you are writing mass physics



biology and English no that’s the wrong subject combination the right can we grow right corner subject combination for medical students are going to life science is what your physics, chemistry, biology and your English you don’t need mass it’s only engineering courses that you need much is very compulsory. Okay. You don’t



The bulging in the engineering courses okay so please check the cause of study the school and also check for the subject combination before you go to the gym accredited CVT sent us to register all right please this where people make mistakes and it’s mix them to write another jam okay please try to get the right correct subject combination check my channel on more details of the rights of your combination to use for your course okay and these are the common mistakes that I’ve got that that’s always soon as always make okay and you can easily avoid them by just being very careful in registration of your job this year. Be very careful Don’t rush into it. Remember, don’t use another person’s phone number. Don’t use another person’s email very very important because this is where john will send you updates of your mock exams your results your jam center



Okay, so and I know that this year, you’re going to matriculate okay into that your desire school all right of choice okay so this is all from btw tutorials and don’t forget, please share this video subscribe to our YouTube channel and if you have any comments please feel free to drop below and if you know you if you have maybe some mistakes that maybe you might have made that hot you or any other ones have not mentioned in this video. Please try to drop that in the comments section so others can learn from this. Alright so thank you for staying tuned to dw tutorials you are destined to win and don’t forget jesus christ is coming soon. give your life to ChristHello guys welcome to btw to dress welcome and Happy New Year to you and from btw tutorials we wish you an awesome 2019 hour we believe that this year is going to be the best for you. Okay so happy new year. All right today’s video we’re going to learn about the common mistakes okay so that’s make Dorinda jam registration and how to avoid them okay and if it’s your first time on this channel btw tutorials and educational channel as opposed to that we pray for your watch that’s your wife Nicole GC john pause to me We are here to support you you indication for 2019 so please as this your first time please try to click the subscribe button okay support this ministry to move forward yes I know this is not that is not an entertainment channel is quite slow in growth what please support his ministry. To move forward click the subscribe button share this channel a big my brothers and sisters.



with your friends, family or loved ones I know almost every youth is in school so please people that need this particular purpose or what’s in place for within for exam my practice this can help you this is free resources for you to pass your exams this year here you can see there are 40 questions so one physicists and another 140 question solve or mass for jam there’s around why here why 50 questions so and if you go to the channel that over the seeds once it’s an educational videos introducing mass topics explaining them solving past questions. This channel is here to support you for free women. These videos free of catch all the way from Lagos, Nigeria, my brothers and sisters. Please click the subscribe button. Subscribe. Support us to do more share. Please let us grow. Help this ministry to move forward. Okay, please, I beg you. This is just my heart play for 2099.



need your support guys please share this channel you know if your parents your uncle you don’t maybe you don’t need is share to your siblings or even to another parent that the child is braver for Gina wag as a PDF Virginia way on places the question unsolved and by God’s grace other videos are coming up this year that will support you for in your education please let’s try to click the subscribe button share this video and also if you have any questions comment on this video please try to drop a comment below and I’ll respond to you. Alright so let’s get on to the video to know how we can avoid these mistakes when registering for a champ exams this year. So what are the list of mistakes to avoid when registering for your chance? 2019 Okay, so the first mistake to avoid is accessible to register for you. Okay and so on. Maybe someone that is not maybe your your mom or dad Okay, please.



If you want someone to register for you issued that be your mother or your father, nobody else I your mom or your dad want them also not to give someone someone else’s responsibility to register for you, okay? Now look at anyone’s radar for you to do Gemma’s as notify them people, students registering that don’t go to cyber cafes go to a CVT registered sent that by jam, okay and in my next video on my blog This is the ability to grab the blogs I’m going to post the list of jump ready satisfy them CBC centers where you can go to in Lagos and in all states.



Okay, so please, the first mistake to avoid is accessible to register for you because they can make a lot of mistake mistakes. It is not Yes, so they might not give it like 100% attention or pass.



Okay, so please don’t make that mistake have access to register for you. Now the second thing is inconsistency your name the way you write your names on your certificate from secondary school make sure that name you also use for your job your surname is this your first name is this your middle name is that and make sure you spell out your names correctly. Okay during your dream filling, filling your jump profile and all that things on the jumpers ratio form. Okay, now the topic is using another person’s phone number. Please don’t use anybody else’s phone number apart from yours. Or maybe that of your mom or your dad. Don’t do uncle brother,

See Also: 8 Biggest Mistakes Students Make

maybe even brother because our product can travel that uncle can travel Okay, and you might see a message and forget that you used his number for yourself.



registration and you will inform you that all he saw a message so please use your mom or your dad or your own phone number for this registration why I keep on hammering your mom on that because they have you had 247 so anything that see there will always inform you okay and also use a number that you can easily retrieve if the phone or the number gets missing all right for pain is using another person’s email address please please please this is a common mistake if our last year so many of them to check their results they were looking for as a matter same address where maybe any email address the cyber cafe they using raised the on the cyber cafe or someone else who’s email address they do the password they do know this or that please use your own email address and it is very easy to get an email address. I will also advise strongly to use a genius



Email, Gmail mailbox, okay. And on my channel I’ve also been going to put the link in the description box a link to the video of how to create a Gmail account. Alright so please make sure you use your own email address is very easy to create a demon in your email account you can use your phone or use a desktop computer make sure also you write down your password, maybe your diary or a journal. All right. And also please try to avoid typing in the wrong address. Make sure you check well that the email address type in juniors Christian is what correct okay if not, you will be receiving mail on any updates on jam 15 is wrong date of bets. Please don’t make mistake in this. Please try to avoid careless mistakes that will cost you re sitting for jam another Yeah, go for it please. So try to write the correct date of this.



If you don’t know that tried to ask your parents for your bed certificates to get the current date of death and also your local government origin okay x your parents clearly of your local government already I make it consistent in your registration Now the 16 is wrong subject combination I’ve done a video on this on the list of jumps object combination you can also check my channel this I’m also going to drop the link for this and it’s also on the computer as blog you can check that for subject combination please a particular course just like a message students you are going for something medical or you are writing mass physics



biology and English no that’s the wrong subject combination the right can we grow right corner subject combination for medical students are going to life science is what your physics, chemistry, biology and your English you don’t need mass it’s only engineering courses that you need much is very compulsory. Okay. You don’t



The bulging in the engineering courses okay so please check the cause of study the school and also check for the subject combination before you go to the gym accredited CVT sent us to register all right please this where people make mistakes and it’s mix them to write another jam okay please try to get the right correct subject combination check my channel on more details of the rights of your combination to use for your course okay and these are the common mistakes that I’ve got that that’s always soon as always make okay and you can easily avoid them by just being very careful in registration of your job this year. Be very careful Don’t rush into it. Remember, don’t use another person’s phone number. Don’t use another person’s email very very important because this is where john will send you updates of your mock exams your results your jam center



Okay, so and I know that this year, you’re going to matriculate okay into that your desire school all right of choice okay so this is all from btw tutorials and don’t forget, please share this video subscribe to our YouTube channel and if you have any comments please feel free to drop below and if you know you if you have maybe some mistakes that maybe you might have made that hot you or any other ones have not mentioned in this video. Please try to drop that in the comments section so others can learn from this. Alright so thank you for staying tuned to dw tutorials you are destined to win and don’t forget jesus christ is coming soon. give your life to Christ Hi everybody. Welcome to a multi tips I’ve been so lucky to have some really great teachers ever since I was young. I’ve also seen some at camps and festivals and on the internet as well that it kind of turned me off. And I’ll tell you why I don’t claim to be a great teacher by any means. I haven’t even spent very much of my life teaching.

Most of the time I’m practicing and writing and performing. But I know one thing and I learned it early on from my own teachers, and it’s don’t show off for your students. I was thinking about a time in high school where the band director was actually a drummer.

That was his main instrument and and our drummer was always in jazz band always trying to get the director to show off he was always saying, I know you’re really good, why don’t you just show me what you mean and and he would never do it or he would say



You take a solo, show me Show me how I should solo and the teacher would never ever do it. Like, I didn’t never hear him fully Go for it. I mean, he’d sit down once in a while and show a thing or two, but, but I never heard what he could really do. I just started kind of thinking about it. And it hit me. The reason that my high school teacher never showed what he could do



was to make the kid feel like they were the ones that mattered, not him as soon as he would have sat down and just, you know, gotten all Buddy Rich up in our faces.



That’s the second that all of a sudden it becomes about him. And the last thing I would ever want to do to an eager, exciting, willing student is to make them feel less than or like, I’m never going to be as good as that. I had a student recently who wanted me to know that her teacher was

See: JAMB 2019 Registration List of Mistakes to Avoid When Registering

The greatest improviser she had ever heard. And she just kind of went on and on about how amazing of an improviser her teacher, was the first thing that came across my mind. Of course, I didn’t say it to her, but was why did he ever show you that? She didn’t tell me what a great teacher he was. She just told me what a great player he was. That was troubling to me. I also know that when you show somebody how it’s done, let me show you how

they don’t get the hands on experience that they need in order to be able to do it themselves. I was asking my family at the dinner table last night if they’ve ever had a teacher who doesn’t explain but rather shows and my daughter said that her calculus teachers like this, she said that sometimes she’ll ask a question and he’ll go to the board and say, Oh, that’s easy. And then he’ll just start writing and and he’ll do you know what



equations really super fast. And this is the fundamental theory of calculus. I have no idea what that means. But she’s left feeling more confused than she was before she even asked the question. I also got an answer from my youngest son Louie, who’s in the seventh grade Louie said that his teacher will often go to the board, explain a concept, really fast turnaround, tell the class how easy that was, and then say everybody gets it right. First of all, why would a teacher ever say, Oh, that’s easy. Are you trying to make the kid feel dumb? You succeeded? Second of all, as soon as the teacher says, Does everybody get it? And all of the smart kids nod their head? No kid wants to raise his hand and say, No, I don’t.

Could you please go back and waste all of these other smart people’s time and slow it way down for me because I didn’t understand a thing because that kid feels like if they do that, the teacher is probably just going to say sounds like you need to see.

me after class make you feel like an idiot sandwich? I’ve seen a kid ask his teacher before, how can I, how can I put more chromaticism into my solo and I’ve seen the teacher say oh well you just need to use enclosures. You do it like this. And then what happens is that the teacher goes into some kind of crazy jamming trance where they can’t even remember that they were teaching anything and they just get so into what they’re doing that they go on for like a minute.



What happens in that moment is that the student says to themselves I’m never going to be that good and they’re too afraid to say that the teacher could you actually slow that down for me and like backup so maybe the first five seconds of what you did students never going to do that they just feel dumb for not having learned from the minute long demonstration. Recently, my 85 year old neighbor got an iPad and asked me to come over.

And help her to learn how to work it. She said the main things you wanted to do was to play Solitaire. I thought that was awesome. So I put the iPad in her hands, and I never touched it. I just said, Okay, this button on the top, turns it on. Okay, now this is called the home button. What you’re going to do is press it, you get it. Anyway, I walked her through only how to play Solitaire.

That was the thing she wanted to do. And I never touched the iPad because I know what it’s like to have somebody be the one touching the thing that you’re confused about. Like when I went to BestBuy to buy my MacBook Pro and I’ve been using PC’s my whole life. The lady was like, Oh look, you can toggle between screens and she’s using three fingers and she’s using two fingers that she’s using her hand like this and then like this, and then she’s using the touch bar up on the top and she’s showing me all the neat things that the computer can do, but really in my mind.

I’m going oh my gosh. slowdown lady, you’re not going to make a sale.

Luckily, I had the courage to just say, All right, I’m gonna be able to learn this at home later. And I did. But for that second, I mean, she just full on intimidated me it wasn’t helpful at all she should have put my hand on that little trackpad and told me what to do. Like, then I could have been like, wow, I can do this. Now, sometimes a demonstration is needed. And I totally get that sometimes it’s necessary and appropriate to show whatever concept it is that you’re teaching. But in most cases, it shouldn’t take longer than a couple of seconds.

And even if the question that you’re addressing is, you know, how do I develop a solo? Why not just put on a recording of some master you know, to show how they did it instead of showing what you would do and I often do this in my lessons.

I can’t Do it when I’m teaching on YouTube because of you know, the copyrights that will happen to me if I play a full Miles Davis solo six or seven seconds is all I’m ever allowed to show on YouTube. But I wish that I could show full solos and we could talk about them in depth. In fact, my classical piano teacher did that.

When I was a kid, any new piece that I learned he would give me a tape of someone famous playing it and tell me I had to listen to it all week and then copy them. My main point here today is that you shouldn’t aim to be the teacher that your student is in all of you should aim to be the teacher that makes the student in awe of what they just learned from, you know, if your student wants to come to your concert or your gig and see what you do, like when you’re in your element

that’s absolutely appropriate. But when it’s lesson time, it’s all about that student.

That person that just wants to learn to make music who is paying you for the next 45 minutes to make it all about them. Thanks so much for watching. Don’t forget to subscribe and I’ll see you next time on aiming at Tips.

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Run for your (long) life

While the adjective salty can be used in today’s slang to describe one’s personality, it also pertains to our food. It’s saturated in it. And that’s not good.
Salt: The good, the bad, and the too much

Sodium is an essential part of our diet. It helps nerves and muscles function as well as hold onto water. Sodium in the blood is what keeps it viscous, but too much sodium means your body could retain too much liquid. This surge in volume increases blood pressure, which is the root of many serious ailments including heart and kidney disease. Experts estimate that we could save 280,000 lives in the United States if we lowered the average daily sodium intake by 40% for the next 10 years. And that’s just because lowering blood pressure protects the heart.

The average American consumes 3,409 milligrams of sodium each day, according to a new report from the Centers for Disease Control and Prevention. That’s way above the amount we should be getting per day: 1,500 mg. It means we’re ingesting 1.5 teaspoons of salt each day, when we really need only a third of that. And most of that sodium comes from prepared and processed foods — 75%, actually. Salt helps to preserve and add flavor to food, which is great when you want that strawberry Pop-Tart to taste the same whether you eat it the day after you buy it or a month after. But the CDC recently published a list of the 10 most sodium-dense foods in our diets. You know what’s at the top? Yeast bread, pizza, and sandwiches. The good stuff, the convenient stuff, the stuff like Pop-Tarts.
Dialing back the sodium

Cutting back on sodium in our prepared foods has been made easier by the increase in packaged food companies’ creating reduced-sodium versions of them, like low-sodium chicken broth. While that sounds simple, sodium lurks in some unexpected places. Kathy McManus, director of the Department of Nutrition at Brigham Health/Brigham and Women’s Hospital, says there are some ways to cut back on sneaky salt.

McManus says a good way to reduce the amount of sodium you eat is to focus on natural and whole foods. Preparing your own food, while sometimes inconvenient, can cut down on a lot of the sodium you consume. For instance, a frozen dinner of Marie Callender’s Vermont White Cheddar Mac and Cheese contains more sodium in one meal than you’re supposed to have in an entire day. But it’s not that hard to prepare a decadent mac and cheese yourself with Barilla pasta, your own white cheddar cheese, and a little cream. The sodium count comes out to around 715 mg. That is much more manageable when watching your sodium intake. It’s less convenient, but it works.

Buying low-sodium products and then adding salt to them is still better than buying the regular version. Cooking techniques can also help compensate for flavor lost when cutting back on salt. McManus suggests playing around with grilling or stir-frying with healthy oils to change the flavor. You can also add fresh or dried herbs to enhance taste. Over time, your taste buds will adjust. Your palate will change. You’ll be less accustomed to salt and less desensitized to it, so a little bit will travel farther in terms of flavor.

Restaurants remain at the top of the list for sodium-dense meals. Looking at the menu online ahead of time can help you prepare and research your options, but so can keying in on words that indicate healthier options. Look for baked, grilled, or steamed as a description for lean meats like fish or poultry. Keep an eye out for sides that are prepared simply, like vegetables. Avoid soups or pastas with sauces. Put salad dressing on the side, and definitely avoid the bread basket.
Top 10 high sodium foods

Nutrition is not a one-size-fits-all kind of science, but it does get us thinking about what we eat and how it affects us. You could never cut sodium completely out of your diet, nor would you want to, but you can be more aware of the sodium in the foods you eat. To see the complete list of high-sodium foods, check out the table below. In April, researchers announced empowering results from a pilot investigation of men with metastatic prostate malignant growth, or disease that has spread past the prostate organ. Since a long time ago viewed as hopeless, these propelled malignant growths are normally treated by giving men foundational drugs that objective new tumors framing in the body. The researchers who drove this new examination adopted an increasingly forceful strategy. Notwithstanding giving fundamental treatment, they precisely evacuated the prostate organ and influenced lymph hubs, and furthermore treated unmistakable malignancy during the bones with radiation. By tossing everything except for the kitchen sink at these malignancies, they accomplished a staggering outcome: a portion of the treated men are still disease free following four years, and one has lived without proof of malignancy for a long time. "On the off chance that these reductions endure sufficiently long, at that point we need to solicit whether some from these men have been relieved of their malady," said the examination's lead creator, Dr. Matthew O'Shaughnessy, a urologic oncologist at the Memorial Sloan Kettering Cancer Center, in New York.

How the investigation was led

The little pilot ponder enlisted 20 men, and O'Shaughnessy stressed that catch up with a bigger gathering is expected to affirm the outcomes. Five of the men had malignant growth that had spread to lymph hubs in the pelvis, and 15 of them had harmful injuries in their bones. Every one of the men were treated for somewhere in the range of six and eight months with hormonal treatment, which squares testosterone (the male sex hormone that influences prostate malignancy cells to become quicker). As noted beforehand, they likewise had their prostates and lymph hubs evacuated, and bone injuries were treated with radiation as required. What the analysts were going for is a finished nonattendance of prostate-explicit antigen (PSA) in blood for at least 20 months after the beginning of hormonal treatment. Prostate malignancy cells will shed PSA into blood, yet on the off chance that the organ has been expelled and all hints of disease expelled from the body, the dimensions should drop to zero and remain there, even after testosterone levels come back to typical.

Generally speaking, five men had imperceptible PSA at 20 months and tallying, despite the fact that that number is too little to even think about drawing any decisions about who may profit most from the methodology. As indicated by O'Shaughnessy, when utilized together hormonal treatment, medical procedure, and radiation all added to delayed reductions that would not have been conceivable if just a single treatment was utilized. An examination utilizing similar techniques is made arrangements for in the not so distant future.

What this implies for treating propelled prostate malignant growth

Up to this point, taking out the prostate and lymph hubs in men with cutting edge prostate malignant growth would have been unbelievable. Specialists stressed that medical procedure could discharge malignancy cells into the circulation system, however fresher examinations show it can securely protract survival. Specialists have additionally been joining hormonal treatment and radiation with empowering results, and now giving each of the three medications is "steady with a pattern of supporting propelled prostate disease than doing less," said Dr. Marc Garnick, the Gorman Brothers Professor of Medicine at Harvard Medical School and Beth Israel Deaconess Medical Center, and manager in head of HarvardProstateKnowledge. All things considered, Garnick alerts that remedies for cutting edge prostate disease can take a long time to affirm. "Ideally follow-up research will bolster this transformative methodology," he said. “Researchers find that running can add three years to your life!” shout the headlines. And yes, a new study did find that cardiovascular exercise, including running, can decrease the risk of death, and potentially prolong life. But there’s more: the authors not only include analyses of piles of data, but also an exhaustive review of just about every other study of cardiovascular fitness and mortality out there. They cite (and discuss) almost 70 reference articles!
By popular demand…

Their newest study came about due to demand. The authors had previously published data from over 55,000 people followed for over 15 years, and found that running was associated with a 45% reduced risk of death from heart attacks and strokes, as well as a 30% reduced risk of death from anything. This benefit was seen even with as little as five to 10 minutes a day of running, even at paces as slow as six miles per hour, and after accounting for age, sex, weight, and other health risk variables (like high blood pressure, diabetes, smoking, and alcohol consumption).

These findings made sense, as other studies had found that in addition to reducing the risk of cardiovascular disease, running also lowered the chances of developing cancer and neurologic diseases (such as Alzheimer’s and Parkinson’s). But there were questions:

    People demanded to know, was there any such thing as too much running?
    The original data set consisted of mostly college-educated, middle-class adult males. What about other populations?
    What about other cardiovascular exercise, such as walking, cycling, or other sports? Any benefits from those?
    The authors themselves point out that in the original study, running was based on self-report. Would their findings hold up if they looked at more objective measures of fitness?

The latest on running and longevity

So, the authors went back to their own data pool, and others. They found, again, that running just about any amount increased people’s lives by about three years; put another way, running for an hour provided seven hours of life benefit.

This benefit topped off at about 4.5 hours of running per week, so the people who ran more than that didn’t live any longer. They didn’t live any shorter, either: there was no risk associated with running longer or farther. They looked at other large studies, and saw that similar results had been found for women and other ethnic groups, as well. And, while other physical activities like walking and cycling offer some benefit, it’s less than running.

How can we explain these findings? The authors hypothesize that running is a particularly effective way to increase our cardiorespiratory fitness level, which is typically measured in metabolic equivalents (METs), like in a treadmill stress test. The authors had treadmill stress test data, and they found that a lower MET measurement (a lower fitness level) was associated with 16% of all deaths — more than high blood pressure, smoking, obesity, high cholesterol, and diabetes.
The takeaways from all these data are…

The lower our fitness level, the higher our risk of death, from just about any cause. Just being inactive accounts for approximately 9% of deaths worldwide (the fourth leading cause of death, by the way, after smoking, diabetes, and high blood pressure). This has been shown time and again. In this current study, even five minutes of running a day was beneficial.

The higher our fitness level, the lower our risk of death. The authors suggest that doctors should “measure” fitness levels, either self-reported physical activity or objectively measured cardiopulmonary fitness during routine physical exams. Fitness levels should be considered just as much as vital signs and the other things we currently measure, like body mass index and blood pressure.

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Safe injection sites and reducing the stigma of addiction

The United States was declared free from ongoing measles transmission in 2000. So why are we still having measles attacks? An outbreak of measles is currently raging in Minnesota. In 2015, 125 cases of measles occurred in California, and in 2014, 383 people were infected with measles in an Amish community in Ohio.
How measles outbreaks happen

There are several reasons why we are still at risk for measles outbreaks. Travelers may get infected overseas, and bring the measles virus back into the country with them unawares. The 2015 measles outbreak in Ohio began when two infected members of the Amish community returned home from typhoon relief work on the Philippines. The California measles outbreak in 2014 started at two Disney theme parks, perhaps after the virus was brought there by a foreign tourist.

In measles, there is an unusually long delay between infection and the development of the rash and other symptoms, typically about two weeks. Measles virus is also highly contagious; patients start to spread the virus to other people about four days before the rash develops. These features make it possible for measles to spread quickly through an unsuspecting population.

The final component to measles outbreaks is inadequate immunity. Many American adults have only received a single dose of the measles, mumps, and rubella (MMR) vaccine, which is only 93% effective at preventing measles. Since 1989, the recommendation has been to give two doses of MMR, which is 97% protective against measles. Vaccination rates have been low among patients in recent US outbreaks. In the current outbreak in Minnesota, most measles cases have occurred in unvaccinated Somali-American children, probably due to the success of anti-vaccine activists in pushing a debunked connection between autism and the MMR vaccine.
Measles infection can still be lethal

So, what’s the big deal about measles? For most people, measles makes for a miserable week of high fever, cough, runny nose, watery eyes, and an impressive total body rash. But for others, it can be a life-threatening, even fatal, condition. One out of every 20 measles patients develops pneumonia, which may be severe. Infection of the brain, or encephalitis, occurs in one out of 1,000 cases. Brain damage, deafness, intellectual disability, or death may result. Before the measles vaccine was available, measles killed 500 people in the US every year, most of them children, and led to 1,000 cases of brain damage per year.

Measles has an especially horrifying late complication known as subacute sclerosing panencephalitis (SSPE). In SSPE, children recover from their initial measles infection, only to develop progressive brain infection with a mutated form of measles virus in their teenage years, leading to a persistent vegetative state.

Many outbreaks of measles could probably be prevented if more travelers received MMR prior to foreign travel. According to a study done in US travel clinics, 16% of pre-travel patients were eligible for measles vaccine, but only a minority of patients received it. The authors of the study cited many reasons that patients didn’t receive the vaccine, with patient refusal being the most common. Next time you plan to travel overseas, think about protecting your community by asking your doctor if you are a candidate for the MMR vaccine before you leave.According to the American Academy of Pediatrics (AAP), the best place for a baby to sleep is in his parents’ bedroom. He should sleep in his own crib or bassinet (or in a co-sleeper safely attached to the bed), but shouldn’t be in his own room until he is at least 6 months, better 12 months. This is because studies have shown that when babies are close by, it can help reduce the risk of Sudden Infant Death Syndrome, or SIDS.

A study published in the journal Pediatrics, however, points out a downside to this: babies don’t sleep as well, and by extension, neither do their parents.

Researchers found that “early independent sleepers,” babies who slept in their own room before 4 months, slept longer, and for longer stretches, than babies who slept in their parents’ room. At 9 months, these babies were better sleepers, not just compared to those who slept in their parents’ room, but also to those who transitioned to their own room between 4 and 9 months.

This is no small thing for sleep-deprived parents. Even a few extra minutes can make all the difference — and given that research suggests that sleeping well in infancy improves the chances of sleeping well in childhood, the study seems to suggest that getting babies out of their parents’ room from the get-go could be a real sanity saver.

The study also found that babies who shared a room with their parents were four times more likely to end up in their parents’ bed during the night — and more likely to have pillows, blankets, and other unsafe stuff around when they sleep. Interestingly, babies who slept in a different room were more likely to have a consistent bedtime and bedtime routine, something that has been shown to help babies sleep better.

But as with most things in medicine, it’s not that simple.

As was pointed out in a commentary accompanying the study, early “sleep consolidation,” or sleeping many hours at once, isn’t necessarily a good thing. The ability to wake easily is important and may be critical in preventing SIDS. The waking up that happens with room sharing may be the exact thing that protects the baby.

It should be pointed out, too, that infancy doesn’t last forever. As much as it can feel like an eternity of being woken at night, the fact is that over time, most babies learn to sleep through the night and give their parents a break.

Also, having the baby sleep nearby helps with breastfeeding. It’s a simple fact that because breast milk is digested more quickly than formula, breastfed babies tend to eat more frequently than formula-fed babies. When babies are in another room, it’s harder and mothers may give up and switch to formula earlier.

It would be so easy if there were rules for parenting that worked for every family, but that’s just not the case. Every family and every child is different; in every situation, it’s about weighing risks and benefits.

Room sharing can help prevent SIDS and support breastfeeding, that’s clear. Also, room sharing doesn’t mean that babies can’t have a consistent bedtime and bedtime routine; it may be tempting to keep the baby up until the parents go to bed, but it doesn’t have to be that way. But the benefits of room sharing diminish when room sharing becomes bed sharing, or when other rules of safe sleep (like no pillows) get broken. Safe sleep, and good sleep routines, should happen no matter where a baby sleeps.

At the same time, if room sharing means that parents aren’t getting any sleep because they are woken by every baby whimper and squeak, that’s not good for anybody — and if the parents’ relationship is suffering significantly because they don’t feel that they can or should be intimate near the baby, that’s not good for anybody either. What’s important is that parents know the recommendations, and the facts behind those recommendations. Once they have that information, they should work with their pediatrician to make the decisions that make the most sense for their child’s safety, their sanity, and the overall health and well-being of their family.
The United States was declared free from ongoing measles transmission in 2000. So why are we still having measles attacks? An outbreak of measles is currently raging in Minnesota. In 2015, 125 cases of measles occurred in California, and in 2014, 383 people were infected with measles in an Amish community in Ohio.
How measles outbreaks happen

There are several reasons why we are still at risk for measles outbreaks. Travelers may get infected overseas, and bring the measles virus back into the country with them unawares. The 2015 measles outbreak in Ohio began when two infected members of the Amish community returned home from typhoon relief work on the Philippines. The California measles outbreak in 2014 started at two Disney theme parks, perhaps after the virus was brought there by a foreign tourist.

In measles, there is an unusually long delay between infection and the development of the rash and other symptoms, typically about two weeks. Measles virus is also highly contagious; patients start to spread the virus to other people about four days before the rash develops. These features make it possible for measles to spread quickly through an unsuspecting population.

The final component to measles outbreaks is inadequate immunity. Many American adults have only received a single dose of the measles, mumps, and rubella (MMR) vaccine, which is only 93% effective at preventing measles. Since 1989, the recommendation has been to give two doses of MMR, which is 97% protective against measles. Vaccination rates have been low among patients in recent US outbreaks. In the current outbreak in Minnesota, most measles cases have occurred in unvaccinated Somali-American children, probably due to the success of anti-vaccine activists in pushing a debunked connection between autism and the MMR vaccine.
Measles infection can still be lethal

So, what’s the big deal about measles? For most people, measles makes for a miserable week of high fever, cough, runny nose, watery eyes, and an impressive total body rash. But for others, it can be a life-threatening, even fatal, condition. One out of every 20 measles patients develops pneumonia, which may be severe. Infection of the brain, or encephalitis, occurs in one out of 1,000 cases. Brain damage, deafness, intellectual disability, or death may result. Before the measles vaccine was available, measles killed 500 people in the US every year, most of them children, and led to 1,000 cases of brain damage per year.

Measles has an especially horrifying late complication known as subacute sclerosing panencephalitis (SSPE). In SSPE, children recover from their initial measles infection, only to develop progressive brain infection with a mutated form of measles virus in their teenage years, leading to a persistent vegetative state.

Many outbreaks of measles could probably be prevented if more travelers received MMR prior to foreign travel. According to a study done in US travel clinics, 16% of pre-travel patients were eligible for measles vaccine, but only a minority of patients received it. The authors of the study cited many reasons that patients didn’t receive the vaccine, with patient refusal being the most common. Next time you plan to travel overseas, think about protecting your community by asking your doctor if you are a candidate for the MMR vaccine before you leave. Imagine a chronic medical condition in which the treatment itself has serious side effects. Examples of this are plentiful in medicine. For example, in diabetes, giving too much insulin can cause hypoglycemia (low blood sugar), a dangerous and potentially life-threatening condition. That doesn’t happen very often, but imagine that it was a common complication of treating diabetes because doctors couldn’t really tell how powerful a given dose of insulin actually was. And suppose that doctors and patient safety experts advocated for places where patients with diabetes could be carefully monitored when taking their insulin. Would you be opposed to this idea? Would you blame the patient for developing diabetes, or for needing this carefully supervised medical treatment in order to live? I suspect that the answer is “of course not!”

Now, let’s shift gears and discuss opioid addiction, specifically people who use illicit drugs like heroin and black-market fentanyl. Heroin is the strong opioid substance derived from the poppy seed that has been used for thousands of years. Fentanyl is a synthetic opioid that can be hundreds of times more powerful than morphine or heroin. Increasingly, illicit heroin is adulterated with fentanyl and similar chemicals, which public health experts believe is the reason for the continued rise in opioid-related deaths despite aggressive measures to decrease opioid prescriptions, increase substance use disorder treatment facilities, and widely distribute naloxone, the antidote to opioid overdose.
Saving lives in the face of increased risk for dying of a heroin overdose

People who use heroin are now at significant risk for overdose death, mainly because the opioid content can vary considerably from dose to dose. Previously, a little too much could have caused a decrease in respiratory rate and a high dose could lead to overdose. Now, with the variability of potency from the synthetic opioids, the strength of each dose can be markedly different. Furthermore, the uptake of fentanyl in the brain is so rapid that a fatal overdose can occur much more quickly than with heroin alone.

If we, as a society, are truly serious about saving lives, we have no choice but to allow people who use injectable opioids to do so in safe, monitored locations without fear of negative repercussions (e.g., being arrested). If you had asked me about this several years ago, I never would have believed that I could write the preceding sentence. I would have said, “Why empower junkies to abuse illegal drugs? Why make it easier on them instead of harder? Why should society condone this activity?”

However, I was wrong — dead wrong.
Good reasons for a change of heart

It turns out that addiction (called substance use disorder or, more specifically here, opioid use disorder in medical jargon) is a disease that can affect any one of us, just like diabetes or high blood pressure. It does not discriminate and does not represent a moral failure on the part of the individual who develops it. It is a condition that no one chooses, but when it attacks, it changes the brain of those with the disease. We can actually visualize those changes with tests like functional MRIs. It leads people to make choices that destroy their lives and the lives of others, such as loss of job, isolation and loss of relationships, incarceration, and even death. We also now know that this is a treatable disease, but the window for successful treatment depends on the psychological state of the person. We must be ready to engage them in treatment at that moment when they are ready.

My opinions changed drastically after a visit to a local needle exchange facility. By current law, individuals can’t inject inside the building. They have to take their chances outside and then they can come inside to be monitored after injecting. I initially envisioned the facility to be sterile, dirty, and depressing. Instead, I was surprised to see that it looked like a living room. There were sofas and a television. There was a warm light, and it appeared to be a welcoming place. Across from the sofas were two desks where staff members sat. Their job is to watch for any signs of overdose (a person who is too sleepy or who is breathing too slowly) and then rapidly respond by providing a nasal dose of naloxone to reverse the overdose. More importantly, they are there to help people right when they are open to treatment for substance use disorder. The staff will help connect them to treatment resources, whether it is group therapy or medical treatment like buprenorphine (Suboxone) or methadone.

If that moment of opportunity in which the individual is receptive to treatment passes, the consequences can be deadly.

Furthermore, the facility is all about harm reduction. There are boxes of free supplies: needle kits so that people do not share needles, condoms for safe sex, kits to help treat small skin infections, even little clean cups to freebase injectable drugs. Naloxone kits are also provided free of charge. There is no judgment there. It is only about reducing a person’s risk of serious, life-threatening infections like HIV and hepatitis C, or the risk of death. And it makes sense. If we are going to agree that opioid use disorder is just another medical condition that needs to be treated, then the compassionate thing to do is to remove the stigma associated with it and reduce associated harms while a person is suffering with substance use disorder. Plain and simple: people with this disease are going to use drugs. Is it better for them to use in the shadows, risking transmission of serious infectious diseases, or monitor them when they are using and be there for them to get them treatment at the moment they are ready?

Currently it’s still illegal in the US to allow people to inject in these supervised environments, but the tide is turning. The city of Ithaca, NY is contemplating a safe injection space, as is Seattle. Multiple studies have confirmed that they work. In Vancouver, Canada, where such facilities were implemented in 2003, they concluded: “Vancouver’s safer injecting facility has been associated with an array of community and public health benefits without evidence of adverse impacts.” Massachusetts is also contemplating a similar pilot supervised injection facility program. With the crises of the opioid epidemic now claiming more than 30,000 lives every year in the US, it’s time to change our biases and old ways of thinking — people’s lives depend on it.

Imagine a chronic medical condition in which the treatment itself has serious side effects. Examples of this are plentiful in medicine. For example, in diabetes, giving too much insulin can cause hypoglycemia (low blood sugar), a dangerous and potentially life-threatening condition. That doesn’t happen very often, but imagine that it was a common complication of treating diabetes because doctors couldn’t really tell how powerful a given dose of insulin actually was. And suppose that doctors and patient safety experts advocated for places where patients with diabetes could be carefully monitored when taking their insulin. Would you be opposed to this idea? Would you blame the patient for developing diabetes, or for needing this carefully supervised medical treatment in order to live? I suspect that the answer is “of course not!”

Now, let’s shift gears and discuss opioid addiction, specifically people who use illicit drugs like heroin and black-market fentanyl. Heroin is the strong opioid substance derived from the poppy seed that has been used for thousands of years. Fentanyl is a synthetic opioid that can be hundreds of times more powerful than morphine or heroin. Increasingly, illicit heroin is adulterated with fentanyl and similar chemicals, which public health experts believe is the reason for the continued rise in opioid-related deaths despite aggressive measures to decrease opioid prescriptions, increase substance use disorder treatment facilities, and widely distribute naloxone, the antidote to opioid overdose.
Saving lives in the face of increased risk for dying of a heroin overdose

People who use heroin are now at significant risk for overdose death, mainly because the opioid content can vary considerably from dose to dose. Previously, a little too much could have caused a decrease in respiratory rate and a high dose could lead to overdose. Now, with the variability of potency from the synthetic opioids, the strength of each dose can be markedly different. Furthermore, the uptake of fentanyl in the brain is so rapid that a fatal overdose can occur much more quickly than with heroin alone.

If we, as a society, are truly serious about saving lives, we have no choice but to allow people who use injectable opioids to do so in safe, monitored locations without fear of negative repercussions (e.g., being arrested). If you had asked me about this several years ago, I never would have believed that I could write the preceding sentence. I would have said, “Why empower junkies to abuse illegal drugs? Why make it easier on them instead of harder? Why should society condone this activity?”

However, I was wrong — dead wrong.
Good reasons for a change of heart

It turns out that addiction (called substance use disorder or, more specifically here, opioid use disorder in medical jargon) is a disease that can affect any one of us, just like diabetes or high blood pressure. It does not discriminate and does not represent a moral failure on the part of the individual who develops it. It is a condition that no one chooses, but when it attacks, it changes the brain of those with the disease. We can actually visualize those changes with tests like functional MRIs. It leads people to make choices that destroy their lives and the lives of others, such as loss of job, isolation and loss of relationships, incarceration, and even death. We also now know that this is a treatable disease, but the window for successful treatment depends on the psychological state of the person. We must be ready to engage them in treatment at that moment when they are ready.

My opinions changed drastically after a visit to a local needle exchange facility. By current law, individuals can’t inject inside the building. They have to take their chances outside and then they can come inside to be monitored after injecting. I initially envisioned the facility to be sterile, dirty, and depressing. Instead, I was surprised to see that it looked like a living room. There were sofas and a television. There was a warm light, and it appeared to be a welcoming place. Across from the sofas were two desks where staff members sat. Their job is to watch for any signs of overdose (a person who is too sleepy or who is breathing too slowly) and then rapidly respond by providing a nasal dose of naloxone to reverse the overdose. More importantly, they are there to help people right when they are open to treatment for substance use disorder. The staff will help connect them to treatment resources, whether it is group therapy or medical treatment like buprenorphine (Suboxone) or methadone.

If that moment of opportunity in which the individual is receptive to treatment passes, the consequences can be deadly.

Furthermore, the facility is all about harm reduction. There are boxes of free supplies: needle kits so that people do not share needles, condoms for safe sex, kits to help treat small skin infections, even little clean cups to freebase injectable drugs. Naloxone kits are also provided free of charge. There is no judgment there. It is only about reducing a person’s risk of serious, life-threatening infections like HIV and hepatitis C, or the risk of death. And it makes sense. If we are going to agree that opioid use disorder is just another medical condition that needs to be treated, then the compassionate thing to do is to remove the stigma associated with it and reduce associated harms while a person is suffering with substance use disorder. Plain and simple: people with this disease are going to use drugs. Is it better for them to use in the shadows, risking transmission of serious infectious diseases, or monitor them when they are using and be there for them to get them treatment at the moment they are ready?

Currently it’s still illegal in the US to allow people to inject in these supervised environments, but the tide is turning. The city of Ithaca, NY is contemplating a safe injection space, as is Seattle. Multiple studies have confirmed that they work. In Vancouver, Canada, where such facilities were implemented in 2003, they concluded: “Vancouver’s safer injecting facility has been associated with an array of community and public health benefits without evidence of adverse impacts.” Massachusetts is also contemplating a similar pilot supervised injection facility program. With the crises of the opioid epidemic now claiming more than 30,000 lives every year in the US, it’s time to change our biases and old ways of thinking — people’s lives depend on it.

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Racket sports serve up health benefits

It’s the end of the school year, the time of graduation speeches, of looking back at accomplishments and making plans for new ones. It’s a time when many parents think about their hopes and dreams for their children, whether they are graduating or just learning to walk.

As parents, we tend to think about getting good grades, excelling at athletics, being popular, getting into good schools, and getting good jobs. All of this is great, of course. But there is something that children need if they are going to truly succeed in life, and that’s resilience.

Resilience is the ability to overcome hardship and be okay. It’s the ability to navigate life’s inevitable bumps and still be happy and healthy and stay on track. What worries me sometimes is that our current parenting culture of achievement and obsessing over safety — and the way that electronic devices have become so ubiquitous — may get in the way of learning resilience.

According to Harvard University’s Center on the Developing Child, there are four factors that help children develop resilience. They are:

    Supportive adult-child relationships. This is crucial. All it really takes is one supportive, nurturing relationship to make all the difference. This gives children a buffer, and helps them know that they aren’t alone and that they matter to someone. While all parents want to have a good relationship with their child, the demands of daily life can get in the way. Try to spend regular time with your child when they have your undivided attention. Ask about their day, get involved in activities they enjoy, spend time doing things together. Make sure your child knows that no matter what, you have their back — and you will love them.
    A sense of self-efficacy and perceived control. Basically, you want to help a child learn that they can manage, and that even if things go wrong, they can figure a way through. You can’t do this just by telling your child that he is smart and capable; he needs to learn it himself. Bit by bit, giving independence, letting children make decisions and take risks helps them learn to weather life’s storms. It’s not always easy to let children take risks —we never want them to be hurt, emotionally or physically — but with you at their back, and in a gradual way, most children can and do manage just fine. Learning this also involves shutting off the screens and being active. Learning to be physically capable is important. In being active, in running and climbing and other such activities, children learn not just their strengths and limitations but how to plan and troubleshoot.
    Strong adaptive skills and self-regulatory capacities. This is what we call “executive function.” It’s like the air traffic controller functions of life: the ability to prioritize, not get distracted, make a plan, negotiate, get along with others, and manage emotions. These are not easy tasks, and there is no way to learn them without practice. One of the best ways for children to practice is through unstructured playtime, either alone (so they can find ways to entertain themselves) or with others (so they can learn how to work with others). Consistent discipline, not giving in to tantrums, and helping children manage sadness or frustration rather than just fixing things for them, can also help. The Center on the Developing child also has suggestions on activities to support executive function at different ages.
    Being able to mobilize sources of faith, hope, and cultural traditions. It helps to be part of something bigger, to have community, to have traditions that help you through difficult times. This doesn’t mean that you need to join a faith if you don’t belong to one. But if you do, maybe you could go to services a bit more often. If you don’t, spending time with extended family, joining a community group, taking part in service opportunities together… these activities can help give your child a perspective on life, as well as strategies for handling challenges. Because ultimately, the ability to keep perspective and handle challenges is what gets us through and helps us succeed.

In April, scientists reported encouraging results from a pilot study of men with metastatic prostate cancer, or cancer that has spread beyond the prostate gland. Long considered incurable, these advanced cancers are usually treated by giving men systemic drugs that target new tumors forming in the body. The scientists who led this new study took a more aggressive approach. In addition to giving systemic therapy, they surgically removed the prostate gland and affected lymph nodes, and also treated visible cancer in the bones with radiation. By throwing everything but the kitchen sink at these cancers, they achieved a stunning result: some of the treated men are still cancer-free after four years, and one has lived without evidence of cancer for five years. “If these remissions persist long enough, then we have to ask whether some of these men have been cured of their disease,” said the study’s lead author, Dr. Matthew O’Shaughnessy, a urologic oncologist at the Memorial Sloan Kettering Cancer Center, in New York.
How the study was conducted

The small pilot study enrolled 20 men, and O’Shaughnessy emphasized that follow-up with a larger group is needed to confirm the results. Five of the men had cancer that had spread to lymph nodes in the pelvis, and 15 of them had cancerous lesions in their bones. All the men were treated for between six and eight months with hormonal therapy, which blocks testosterone (the male sex hormone that makes prostate cancer cells grow faster). As noted previously, they also had their prostates and lymph nodes removed, and bone lesions were treated with radiation as needed. What the researchers were aiming for is a complete absence of prostate-specific antigen (PSA) in blood for a minimum of 20 months after the start of hormonal therapy. Prostate cancer cells will shed PSA into blood, but if the gland has been removed and all traces of cancer removed from the body, the levels should drop to zero and stay there, even after testosterone levels return to normal.

Overall, five men had undetectable PSA at 20 months and counting, although that number is too small to draw any conclusions about who might benefit most from the approach. According to O’Shaughnessy, when used together hormonal therapy, surgery, and radiation all contributed to prolonged remissions that would not have been possible if only one treatment was used. A study employing the same methods is planned for later this year.
What this means for treating advanced prostate cancer

Until recently, taking out the prostate and lymph nodes in men with advanced prostate cancer would have been unthinkable. Doctors worried that surgery could release cancer cells into the bloodstream, but newer studies show it can safely lengthen survival. Researchers have also been combining hormonal therapy and radiation with encouraging results, and now giving all three treatments is “consistent with a trend of doing more for advanced prostate cancer than doing less,” said Dr. Marc Garnick, the Gorman Brothers Professor of Medicine at Harvard Medical School and Beth Israel Deaconess Medical Center, and editor in chief of HarvardProstateKnowledge.org. Still, Garnick cautions that cures for advanced prostate cancer can take decades to confirm. “Hopefully follow-up research will support this transformative approach,” he said.
When I was a kid, my summer sport of choice was baseball. Every day I played in marathon neighborhood games until it was too dark to see the ball. It was about fun and not fitness. But now that I’m older, and my Louisville Slugger has been officially retired, I need a summertime sport that recaptures the playfulness of my youth, but also works to keep my physical and mental skills sharp.

So, I picked up a racket.

It turns out that racket sports are not only fun, but they may help me live longer. A study published online by the British Journal of Sports Medicine examined the link between six different types of exercise and the risk of early death. Researched looked at racket sports, swimming, aerobics, cycling, running, and soccer. Study volunteers included 80,306 people, who ranged in age from 30 to 98. Over the course of the study’s nine years, those who regularly played racket sports were 47% less likely to die of any cause and 56% less likely to die of cardiovascular disease.

“In many ways, racket sports like tennis, squash, badminton, racquetball, Ping-Pong, and other variations are the ideal exercise for many older adults,” says Vijay A. Daryanani, a physical therapist and personal trainer with Harvard-affiliated Spaulding Outpatient Center. “Besides offering a good cardiovascular workout, they can help with both upper- and lower-body strength at one time. They can be played at any age, can be modified to fit most fitness levels, and do not involve a lot of equipment.”
Body and mind games

Racket sports offer something other fitness sports do not — lateral movement. “Most of our lives are spent moving forward, and that includes our exercise,” says Daryanani. “Racket sports force you to move both back and forth and side to side. This helps improve balance and weight shifting, which can lower your risk of falls.”

This kind of activity also exercises your mind. From a cognitive standpoint, it sharpens your planning and decision-making skills, as you must constantly anticipate and execute your next shot.

Racket sports also serve up a strong social component. You play against other people — either as a single or part of a doubles team — while other exercises like running, swimming, and cycling are more isolated activities. Frequent social contact is essential for a long and healthy life. In fact, a 2012 study in the Archives of Internal Medicine found that loneliness was associated with functional decline and an increased risk of death among adults older than age 60.
Pick up pickleball

While there are many types of racket sports to try, one of the fastest-growing among older adults is “pickleball.” It’s a hybrid sport that blends tennis, table tennis, and the backyard childhood game of Wiffle ball. The paddle is between a table tennis paddle and a tennis racket in size and made of lightweight composite material, such as aluminum or graphite, which cuts down on fatigue. The plastic pickleball resembles a larger Wiffle ball and travels about one-third the speed of a tennis ball, so it is easier to see and hit. Pickleball is played both indoors and outdoors. The court is 20 by 44 feet, or about the size of a double badminton court. The net is shorter than a tennis net, which makes it easier to hit over. Here are the basic rules:

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Right brain/left brain, right?

Imagine a scenario in which I could endorse a pill that could counteract or treat hypertension, diabetes, elevated cholesterol, coronary illness, even dejection and dementia. What's more, consider the possibility that specialists had widely inquired about this pill and the outcome was: adequate verification that it's powerful. In addition, it's for all intents and purposes free and has no terrible reactions. In actuality, its solitary reactions are enhanced rest, expanded vitality, and weight reduction.

All things considered, people, this amazing medication exists. It's genuine and promptly accessible for everybody. It's called serious way of life change. Its dynamic fixings are physical movement and extraordinary upgrades in eating routine, and it functions admirably. Incredibly well. In the event that it were a genuine pill, almost certainly a huge number of individuals would uproar for it and some pharmaceutical organization would harvest huge benefits. In any case, here's the means by which you can get "it." Intensive way of life changes includes learning and activity — which numerous specialists believe is simply too hard to even think about teaching, and numerous patients believe is too hard to even consider doing.

In any case, they would not be right

I'm here to report that escalated way of life change is possible, reasonable, and fundamental for good wellbeing. Doctor and scientist Dr. Senior member Ornish is a pioneer of escalated way of life change. I had the chance to hear him talk at the Harvard Medical School Lifestyle Medicine Conference in July. (You can tune in to his TED talks here.) Dr. Ornish and his group began looking into this program decades prior, and they have reliably discovered positive outcomes.

Research-based serious way of life change

Things being what they are, what precisely that does their program resemble? It accentuates sustenance and exercise, as one would expect, however it additionally addresses mental components like dejection, segregation, melancholy, and outrage. Why? Since research indicates passionate and social wellbeing is related with a diminished danger of illness and unexpected passing. He talked about the significance (explore demonstrated) of association, closeness, and love. He calls attention to that a ton of "terrible" practices, for example, smoking, drinking, and indulging are really individuals' endeavors to self-cure enthusiastic torment.

Here's the means by which it works: nine weeks of sustenance and supper prep guidance on a plant-based, low-refined-carb and low-trans-fat eating routine, just as imparted dinners to the gathering; proposal for and direction in three to five hours of moderate physical movement, alongside a few quality instructional meetings for every week; stress the board, correspondences abilities, and unwinding guidance; and a care group. The objective is for patients to embrace these wellbeing advancing techniques for whatever is left of their lives.

What specialists and patients need to think about escalated way of life change

The general message for doctors is this: a serious way of life change program won't work if it's simply "requested" by docs, or if patients are required to connect with it dependent on dangers and alerts. Amid the course I took in the significance of keeping away from blame, disgrace, and panic strategies, and making tracks in an opposite direction from marks, for example, "great" or "awful." Any way of life change must be important and pleasurable. In the event that it's important and pleasurable, individuals will do it. For these progressions to be best, individuals need to need to proceed with them for whatever remains of their lives. The doctor's main responsibility is to go about as a mentor for the patient, empowering and managing their endeavors, without judgment.
During the 1980s, reports started to surface of a potential association among vasectomies and prostate malignant growth. This stressed men thinking about vasectomies for anti-conception medication, yet it was additionally disputable. A few investigations recognized an affiliation while others didn't. Harvard Prostate Knowledge last canvassed the theme in 2015, after the biggest examination to that point recognized somewhat higher dangers of high-grade prostate malignant growth among men who had a vasectomy contrasted with men who hadn't.

Since concentrate has been overshadowed by a significantly bigger one.

Here's the manner by which the examination worked

For this new exertion, scientists with the Mayo Clinic in Rochester, Minnesota glanced through 53 thinks about with a consolidated 15 million men who had a vasectomy and were then pursued for as long as 24 years. The Mayo scientists likewise controlled for a potential predisposition that made a portion of the prior examinations difficult to translate: explicitly, that men who get a vasectomy are bound to focus on their wellbeing, incorporating prostate malignancy screening with a PSA test. Researchers had guessed that detailed connections among vasectomy and prostate disease could have more to with screening results and early identification than with vasectomy itself.

To control for that plausibility, the Mayo group stratified every one of the 53 ponders by whether their danger of inclination was high, medium, or low.

This is what analysts found

They found that proof connecting vasectomy with prostate malignant growth was most grounded in the more one-sided considers. Also, when taking a gander at the low-inclination considers — the ones that best represented the impact of early discovery with PSA screening — the association with prostate malignancy was "insignificant," as indicated by Dr. Bimal Bhindi, a urologist at the Mayo Clinic who drove the examination. Besides, the low-predisposition considers contained no proof at all that vasectomy raises dangers for the high-grade prostate malignant growths that undermine survival.

"We blended three many years of epidemiological research on the point and found no reasonable verification that vasectomy causes prostate malignancy," Bhindi composed. "Nor do we are aware of any unmistakable organic instrument for how it could do as such."

"The present examination is vital for its sheer size," included Dr. Marc Garnick, the Gorman Brothers Professor of Medicine at Harvard Medical School and Beth Israel Deaconess Medical Center, and editorial manager in head of HarvardProstateKnowledge.org, who offered an increasingly tempered evaluation. "Nonetheless, review examinations that attempt to deal with predispositions are continually testing. For the time being, the potential danger of prostate malignancy ought to likely not deter a person from having a vasectomy if that methodology is thought to result in the most ideal contraception strategy." vIf you're similar to me, you discovered that about 90% of individuals are correct given and a significant part of the reason is hereditary. What's more, that is valid, despite the fact that it remains a riddle why our hereditary development prompted such a large number of more righties than lefties).

Be that as it may, for specific errands, handedness can be "survive." For instance, right-gave children figuring out how to play tennis, golf, or baseball can wind up fruitful hitting from "the opposite side." It might be more a matter of how they are educated and what gets strengthened than about a hard-wired inclination for one hand or the other.

As indicated by new research, individuals being "left-brained" or "right-brained" may likewise be less settled than we'd thought.

Perceive yourself?

As indicated by customary way of thinking, individuals will in general have an identity, thinking style, or method for doing things that is either right-brained or left-brained.

The individuals who are correct brained should be natural and innovative free masterminds. They are "subjective," enormous picture masterminds who experience the world in wording that are elucidating or abstract. For instance, "The skies are dim and threatening; I wonder if it will rain?"

In the mean time, left-brained individuals will in general be progressively quantitative and logical. They focus on subtleties and are governed by rationale. Their perspective on the climate is almost certain, "The conjecture said there was just a 30% possibility of downpour however those cumulonimbus mists will likely bring roar just as downpour."

A well known book previously distributed in 1979, Drawing on the Right Side of the Brain, broadens this idea. It recommends that paying little mind to how your cerebrum is wired, connecting with your "right mind" will enable you to see — and draw — things in an unexpected way.

These thoughts of "left and right mind ness" are broad and generally acknowledged. Be that as it may, they may likewise not be right.

Area matters

There is truth to the possibility that some cerebrum capacities live more on one side of the mind than the other. We realize this to some extent from what is lost when a stroke influences a specific piece of the mind. For instance, it has for quite some time been believed that, in a great many people, control of language lives in the left half of the mind. What's more, there are regions of the correct a large portion of the mind that control development of the left arm and leg (and the other way around). Harm to the front piece of the mind is connected with decreased inspiration, trouble arranging, and debilitated imagination. In the interim, the back of the cerebrum (the occipital cortex) incorporates visual data from the eye. Harm to this zone can cause halfway or complete visual impairment. These are only a couple of instances of how certain parts of the mind seem in charge of explicit capacities. In this way, area does make a difference.

Be that as it may, for increasingly singular identity qualities, for example, imagination or an inclination toward the judicious as opposed to the natural, there has been practically zero proof supporting a living arrangement in one region of the cerebrum. Indeed, in the event that you played out a CT filter, MRI check, or even a post-mortem examination on the mind of a mathematician and contrasted it with the cerebrum of a craftsman, it's far-fetched you'd discover much distinction. What's more, in the event that you did likewise for 1,000 mathematicians and specialists, it's improbable that any unmistakable example of distinction in mind structure would rise.

The right-cerebrum/left mind legend?

All in all, is "supposing with the left half of your cerebrum" a fantasy? Perhaps. In any case, the absence of evidence does not demonstrate the inverse. For individuals living a great many years prior, a powerlessness to demonstrate the earth was round did not demonstrate the earth was level!

Be that as it may, the proof limiting the left/right cerebrum idea is collecting. As per a recent report from the University of Utah, cerebrum examines exhibit that movement is comparative on the two sides of the mind paying little heed to one's identity.

They took a gander at the mind sweeps of in excess of 1,000 youngsters between the ages of 7 and 29 and isolated distinctive zones of the cerebrum into 7,000 districts to decide if one side of the mind was more dynamic or associated than the opposite side. No proof of "sidedness" was found. The creators reasoned that the thought of a few people being all the more left-brained or right-brained is more an interesting expression than an anatomically precise depiction.

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Things parents should know about complementary and alternative medicine

Before the therapeutic network would be wise to comprehension of the instruments that reason sickness, specialists trusted certain infirmities could begin from uneven characters in the stomach. This was called hypochondriasis. (In Ancient Greek, hypochondrium alludes to the upper piece of the stomach area, the district between the breastbone and the navel.) This idea was rejected as science advanced and, for instance, we could look under a magnifying lens and see microscopic organisms, parasites, and infections. The importance of the term changed, and for a long time specialists utilized "masochist" to depict an individual who has a diligent, regularly strange dread of having a genuine therapeutic disease.

Be that as it may, consider the possibility that this antiquated idea of diseases starting in the gut really holds some fact. Could a portion of the incessant infections our general public faces today really be related with a broken gastrointestinal framework?

The articulation "flawed gut" is getting a great deal of consideration in therapeutic websites and online life of late, however don't be shocked if your specialist does not perceive this term. Cracked gut, additionally called expanded intestinal porousness, is to some degree new and the majority of the exploration happens in fundamental sciences. In any case, there is developing enthusiasm to create prescriptions that might be utilized in patients to battle the impacts of this issue.

What precisely is defective gut?

Inside our guts, we have a broad intestinal coating covering in excess of 4,000 square feet of surface territory. When working appropriately, it frames a tight hindrance that controls what gets ingested into the circulation system. An unfortunate gut covering may have vast breaks or openings, permitting incompletely processed sustenance, poisons, and bugs to enter the tissues underneath it. This may trigger irritation and changes in the gut vegetation (typical microorganisms) that could prompt issues inside the stomach related tract and past. The exploration world is blasting today with studies demonstrating that adjustments in the intestinal microscopic organisms and irritation may assume a job in the improvement of a few normal endless illnesses.

Who gets a cracked gut (and why)?

We as a whole have some level of cracked gut, as this hindrance isn't totally impervious (and should be!). A few of us may have a hereditary inclination and might be progressively delicate to changes in the stomach related framework, however our DNA isn't the just a single to fault. Present day life may really be the principle driver of gut aggravation. There is developing proof that the standard American eating regimen, which is low in fiber and high in sugar and soaked fats, may start this procedure. Overwhelming liquor use and stress additionally appear to disturb this parity.

We definitely realize that expanded intestinal penetrability assumes a job in certain gastrointestinal conditions, for example, celiac infection, Crohn's ailment, and crabby entrail disorder. The greatest inquiry is regardless of whether a cracked gut may cause issues somewhere else in the body. A few investigations demonstrate that defective gut might be related with other immune system maladies (lupus, type 1 diabetes, numerous sclerosis), incessant weakness disorder, fibromyalgia, joint pain, hypersensitivities, asthma, skin inflammation, heftiness, and even dysfunctional behavior. Notwithstanding, we don't yet have clinical examinations in people demonstrating such a circumstances and logical results.

A way toward a more advantageous gut

In spite of the fact that it is surprising to hear the expression "expanded intestinal penetrability" in many specialists' workplaces, elective and integrative drug professionals have dealt with gut recuperating as an underlying advance to treat incessant illnesses for a considerable length of time. Different societies around the globe frequently prescribe explicit weight control plans to improve individuals feel. Indeed, even in the United States, usually to see individuals changing their eating regimens in the wake of becoming ill. A typical beginning advance a few professionals take is to expel nourishments that can be provocative and could advance changes in the gut greenery. Among the most widely recognized are liquor, prepared nourishments, certain drugs, and any sustenances that may cause hypersensitivities or sensitivities. In my training, I frequently observe patients enhance altogether when they begin eating a more beneficial eating regimen.

Discussion still exists on whether broken gut causes the advancement of maladies outside the gastrointestinal tract in people. In any case, it is dependably a smart thought to eat a nutritious, natural eating regimen that incorporates nourishments that assistance control irritation (and maintains a strategic distance from sustenances known to trigger aggravation), which may, from a certain perspective, help to modify the gut lining and convey more equalization to the gut vegetation. This formula could improve you feel, with no reactions. It is certainly worth an attempt.
Suppose you're fundamentally solid, however overweight. You can't exactly get your eating regimen leveled out. You'd like your specialist's assistance and possibly some testing, similar to thyroid. So you call your essential consideration specialist. You work through the training's telephone tree and leave a message for the medical attendant. The medical caretaker may hit you up inside multi day or a couple of days, and after you talk, she or he will pass the message on to your specialist, who says you should come in. At that point it takes a week or so to get an arrangement.

At that visit your specialist converses with you about your eating routine, and it turns out to be evident that you will in general eat an excessive number of carbs when you feel focused. Similarly as you're going to share why you feel focused on, the arrangement is finished. However, your specialist arranges a couple of labs, alludes you to a nutritionist, and gives you a rundown of advisors and proposes you "call around to see who might be a solid match, to talk about pressure the board." What regularly occurs next is that it takes a few days to hear once again from a nutritionist (which implies you need another arrangement likely at a not exactly advantageous area). Now it's everything so disappointing that you could conceivably ever make those calls to potential specialists.

From the specialist's (my) point of view

Most specialists genuinely appreciate seeing and conversing with patients, and we need to help. That is the reason we attempted this long, costly, and mentally difficult vocation way. In any case, specialists must see a specific number of patients to acquire their pay, and there has been strain to see more. At that point, each hour of facility time measures up to over a hour of work area work: reacting to the patient telephone and email messages, checking labs, speaking with pros, inspecting and marking exercise based recuperation and visiting medical caretaker orders, rounding out inability frames, composing important graph notes, and recording for charging. Also, perhaps calling a couple of patients.

Once in a while, when the calendar is light, a specialist can have more top to bottom discussions with patients. On the off chance that there had been sufficient time, you may have shared that you're in a lethal, discouraging workplace, and that you indulge to adapt to pressure and intense subject matters. When we realize that, specialists can screen for clinical melancholy and offer treatment, just as give progressively significant guiding on adapting aptitudes, sustenance, and self-care.

Be that as it may, that is not how it generally functions. What's more, specialists hate it as much as patients do. Specialists detest feeling forced to see more patients, hurrying through visits, alluding out to masters who could possibly convey back, and afterward trudging through such authoritative work. The outcome is baffled specialists and patients, and increasingly costly consideration. We wish there was additional time, just as a nutritionist and a full-time specialist on location with whom we could easily and productively give and work together.

In any case, the essential consideration world is changing… to improve things

That whole model is being flipped on its head, which is something to be thankful for.

This is the place the idea of the Patient-Centered Medical Home (PCMH) comes in. The "home" does not allude to a spot, but instead, to a model of consideration. Here's the manner by which it works.

Your essential consideration doctor will be one individual from a group who will offer exhaustive consideration all under one "rooftop." Moving forward, individuals will pay for their medical coverage, and their essential consideration specialist will get one level installment from protection to cover a large portion of the consideration gave. The sum will be founded on the patient's medical problems and unpredictability. There will be far less "expense for-administration," that is, charging for each visit. Administrations, for example, conduct wellbeing and nourishment will be situated in the workplace. Doctors and patients will decide explicit wellbeing objectives, which would then be able to result in extra motivations. Practices will be compensated for things like helping a patient shed pounds and get glucose leveled out — that is, for keeping them solid and out of the crisis room and medical clinic.

In any case, how would you keep individuals more beneficial all the more effectively? We will utilize progressively present day and imaginative apparatuses to monitor a patient's status and advancement from home, with devices, for example, wellbeing gear that joins in to the graph, and PCs for virtual visits. We will contract all the more nursing staff to call patients and help with observing from far off. We specialists will likewise should be increasingly open, with more telephone calls or e-visits. Enlisting additional staff and purchasing new gear is costly, however that is the venture we have to make so as to work in this new world.

An extraordinary practice can up and conclude that they're a restorative "home." There is a thorough accreditation process through an outside office, and after that there is oversight to guarantee that objectives are being met. The model is likewise planned with the patient up front. There is a major patient fulfillment segment.

Will it work? Most investigations of PCMH-confirmed practices have appeared in diabetes control, adherence to prescriptions, just as a lessening in post-clinic release crisis room visits and passings, and at lower costs — especially among constantly sick patients. Most additionally demonstrated that the two patients and suppliers preferred the new model. (A couple of concentrates have indicated blended outcomes.) "Corresponding and elective prescription" is a wide term that alludes to medications that are not for the most part some portion of conventional Western drug. It incorporates things like natural cures, dietary enhancements or elective eating regimens, needle therapy, pressure point massage, homeopathy, Chinese cures, Reiki, or entrancing. It additionally incorporates things like yoga or reflection — and chiropractic prescription.

Huge numbers of these treatments have moved toward becoming progressively standard. Truth be told, more than one out of 10 US kids, and the greater part of US youngsters with constant restorative conditions, have utilized them. As utilization of these treatments develops, frequently energized by what individuals read on the Internet and web based life, it's vital that individuals get educated and instructed, particularly on the off chance that they are going to utilize them on their kids. That is the reason the American Academy of Pediatrics (AAP) distributed a report entitled "Pediatric Integrative Medicine" in the diary Pediatrics.

Here are three things all guardians should think about reciprocal and elective drug:

1. A large number of them are exceptionally helpful. It's not as though Western medication has the corner on all medicinal information. A portion of these treatments, similar to needle therapy, have been around for actually a great many years. The more we contemplate these treatments, the more we find out about the manners in which they can be useful. Needle therapy can be useful for endless agony. Probiotics can help battle the runs, and docosahexaenoic corrosive (DHA) found in fish oil helps fetal mental health and may assist youngsters with consideration issues. Yoga has been found to assist youth with consideration issues likewise, just as those with asthma or bad tempered gut disorder. Our comprehension of wellbeing and drug is growing, and numerous doctors routinely prescribe numerous treatments that used to be rejected. Be that as it may, there is an issue…

2. The greater part of them are ineffectively controlled. For a medication to be authorized available to be purchased, it needs to experience broad testing. The equivalent isn't valid for home grown, nutrient, or other "elective" medicines. Since they are named "nourishment" instead of prescription, they aren't tried or controlled anyplace close as cautiously, and they don't need to demonstrate their cases. In the event that you purchase a natural cure or a dietary enhancement, you have positively no chance to get of knowing everything that is in it (some have been found to incorporate risky fixings like lead or arsenic), and no chance to get of knowing whether it will do what the maker says it will.

This is likewise valid for experts. To be authorized as a specialist or medical attendant, you need to go to a licensed program, pass national examinations, and demonstrate progressing competency. That isn't really the situation with numerous who practice elective medication. While there are some authorizing sheets and ways that experts can be certify, there is at present no extensive method to guarantee nature of consideration.

Western prescription additionally has a custom of progressing self-examination, of doing concentrates to make sure that medicines work and are protected, and a framework to help that convention. While there have been, and keep on being, numerous investigations of integral and elective drug, there is not even close to a similar convention and framework. This is something the AAP says necessities to change. It is not necessarily the case that there aren't fantastic specialists and magnificent medicines. It's simply that it's a lot harder to know whether the individual treating you or your tyke has the correct preparing and abilities and if the treatment is sheltered, not to mention supportive for the condition. Which is the reason…

3. Guardians need to get their work done — and converse with their youngster's specialist — before utilizing integral or elective medication with their kids. Before you attempt any treatment, find out about it. The National Center for Complementary and Integrative Health, some portion of the National Institutes of Health, is an extraordinary asset to find out about reciprocal and elective medication and explicit medicines. It's likewise extremely vital to converse with your specialist. It's vital to make certain that what you are doing won't meddle with some other treatment. For instance, St. John's wort, a herb that is normally used to treat wretchedness, can communicate or meddle with numerous generally endorsed prescriptions. It's imperative to check with your specialist to make sure that what you are doing is alright for your tyke's specific condition or circumstance.

The majority of all, it's imperative that your specialist think about your anxieties for your kid and why you need to utilize the medications in any case. On the off chance that you are stressed over your kid's development or craving, for instance, let your specialist make certain there isn't something progressively genuine going on before you utilize dietary enhancements. While specialists may not know everything about nontraditional medicines (the AAP report says specialists need more training about them), we care especially about your youngster's wellbeing and need particularly to work with you to discover all the approaches to get and keep your kid sound and upbeat.

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